Displaying 6441-6450 of 1611142 results.
ID:
6441
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
6442
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
6443
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
6444
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
6445
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
6446
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
28
ID:
6447
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
6448
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
6449
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
6450
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
6441644264436444644564466447644864496450